{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:59:45Z","timestamp":1790315985061,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD059802"],"award-info":[{"award-number":["R01HD059802"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005240","name":"Administration for Children and Families","doi-asserted-by":"publisher","award":["90FM0063"],"award-info":[{"award-number":["90FM0063"]}],"id":[{"id":"10.13039\/100005240","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Relationship distress is a prevalent issue with significant economic and societal consequences, including increased mental and physical health problems, decreased workplace productivity, and increased absences. Although couple therapy has been shown to improve relationship and individual well\u2010being, its high costs limit accessibility. Digital relationship interventions provide a cost\u2010effective alternative. However, limited research has assessed the cost\u2013benefit of such programs using experimental designs. This study conducted a cost\u2013benefit analysis of the OurRelationship program using data from two randomized controlled trials (RCTs). The Washington State Institute for Public Policy (WSIPP) cost\u2013benefit model was applied to quantify economic benefits across four domains\u2014depression, anxiety, alcohol misuse, and insomnia\u2014relative to a waitlist control. Program costs were estimated at $280 per individual, and benefits were assessed in terms of healthcare savings, productivity gains, and labor market outcomes. The primary analysis found that, for every dollar spent on the OurRelationship program, $6.60 was saved in societal costs. Sensitivity analyses suggested benefit\u2013cost ratios ranging from $1.88 to $22.06 depending on assumptions regarding the number of participants, duration of effects, and magnitude of program impact. Findings suggest that the OurRelationship program yields substantial economic benefits, making it a viable investment for policymakers, employers, and healthcare systems. The study supports broader implementation of efficacious digital relationship interventions and highlights the importance of economic evaluations in guiding funding decisions for relationship support programs. Further research should explore the long\u2010term benefits and applicability across diverse populations.<\/jats:p>","DOI":"10.1111\/famp.70177","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T11:20:23Z","timestamp":1783596023000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Economic Costs and Benefits of the Digital\n                    <scp>OurRelationship<\/scp>\n                    Program for Distressed Couples"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8039-848X","authenticated-orcid":false,"given":"Brian D.","family":"Doss","sequence":"first","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6277-2300","authenticated-orcid":false,"given":"Shayna","family":"Guttman","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9530-1221","authenticated-orcid":false,"given":"Maya","family":"Metser\u2010Waldman","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirvi","family":"Ajmera","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2522-6546","authenticated-orcid":false,"given":"Alex","family":"Dopp","sequence":"additional","affiliation":[{"name":"Rand  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12750"},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"Workplace Outcome Suite Annual Report 2021: EAP Counseling Use and Outcomes, COVID\u201019 Pandemic Impact, and Best Practices in Outcome Data Collection","author":"Attridge M.","year":"2022","journal-title":"UMB Digital Archive"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12540"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004188.pub3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-020-01175-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1389\u20109457(00)00065\u20104"},{"issue":"22","key":"e_1_2_8_8_1","first-page":"1","article-title":"Cohabitation, Marriage, Divorce, and Remarriage in the United States","volume":"23","author":"Bramlett M. 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